An unusual complication following tracheoesophageal puncture for alaryngeal voice restoration

Abstract

Abstract A laryngectomized patient who developed massive subcutaneous emphysema, pneumothorax, pneumomediastinum, and esophageal fistual with a retroesophageal collection following the creation of a tracheo-esophageal fistuls for alaryngeal voice restoration is presented, together with its management. A review of the literature is made, and possible causes of the three complications are discussed.